Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $34.67	Professional		$18.20	$21.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $56.23	Professional		$43.65	$50.12	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $158.49	Professional		$20.42	$30.90	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $275.42	Professional		$25.70	$44.67	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $56.23	Professional		$47.86	$52.48	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $58.88	Professional		$23.44	$38.02	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12